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Guidelines for Writing Outcome

Guidelines for Writing Outcome

When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...

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Optimizing Implementation of the Neonatal Enhanced Recovery After Surgery Guideline.

Brandon Pentz¹, Palak Patel¹, Mercedes Pilkington²

¹Department of Surgery, University of Calgary, Calgary, AB, Canada.

Journal of Pediatric Surgery

|July 27, 2024

Summary

This summary is machine-generated.

Healthcare professionals identified key strategies for implementing neonatal Enhanced Recovery After Surgery (ERAS®) guidelines, including guideline champions and education. These approaches improved team engagement and patient care quality.

Keywords:

ERAS®Enhanced recovery after surgery Facilitation Implementation Neonatal

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Area of Science:

Neonatal care
Surgical protocols
Healthcare implementation science

Background:

Enhanced Recovery After Surgery (ERAS®) protocols necessitate multidisciplinary healthcare professional (HCP) engagement.
Limited research exists on neonatal ERAS® protocols, highlighting a gap in understanding HCP perceptions.
This study aimed to explore HCPs' views on facilitating and implementing neonatal ERAS® guidelines.

Purpose of the Study:

To identify perceived facilitators for neonatal ERAS® guideline implementation.
To understand the impact of these facilitators on healthcare teams and patient care.
To inform future strategies for successful neonatal ERAS® adoption.

Main Methods:

A multi-methods study involving 13 healthcare professionals (pediatric anesthesiologists, neonatologists, NICU RNs, pediatric surgeons) from 10 neonates' care teams.
Data collection via semi-structured interviews and surveys conducted between May 2021 and November 2022.
Thematic analysis of coded data using The Promoting Action on Research Implementation in Health Studies (PARIHS) framework.

Main Results:

Top facilitation strategies identified: multidisciplinary guideline champions, reminders and education, and results dissemination.
These strategies were perceived to enhance buy-in, engagement, and team communication.
Improvements were also noted in job satisfaction, quality of care, and parental involvement.

Conclusions:

Healthcare professionals emphasized the critical role of guideline champions, education, and feedback for ERAS® implementation.
Despite challenges during the COVID-19 pandemic, perceived benefits included improved engagement, communication, and care quality.
Adopting these strategies is recommended for successful future neonatal ERAS® guideline facilitation and implementation.